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Ultimate Modality

That’s ShockingBreak a Leg

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Within what period of time do you have to place a luxated tooth back into its socket in order to give it the best chance of survival?

1.Within 30 minutes2.Between 30 min to an hour3.Between 2-3 hours4.Within 3.5 hours

A. Within 30 min.

Which pulse is the most appropriate to assess when determining the circulation status of the lower extremity?

A. Radial pulseB. Posterior tibial pulseC. Brachial pulseD. Femoral E. Carotid

B. Posterior Tibial Pulse

Which of the following would best describe a decorticate posture?

A. Extension of the arms and flexion of the knees

B. Extension of both the arms and legsC. Flexion of both the knees and elbowsD. Extension of legs and arms in the

position of being crossedE. Extension of the legs with flexion of

the elbows, wrist, and fingers

E. Extension of the legs with flexion of the elbows, wrist, and fingers

While working a college football game you have an athlete that goes into head to head contact with a player on the opposing team. When you reach the athlete they are conscious, but not fully aware of their surroundings. They are complaining of head and neck pain and have a tingling sensation in both arms. What steps would you take to safely remove the athlete from the field?

Activate your schools EAP and summon EMS. Hold c-spine on the athlete and have someone you are working with grab the backboard and remove the athlete’s facemask. Question the athlete to see what they remember about the incident and try to keep them calm and tell them to remain still. Have the AT that brought the backboard place a cervical collar on the athlete while you maintain in-line stabilization. Once the cervical collar is in place have the secondary AT and AT students perform a log roll with one person sliding the backboard behind that athlete. Roll the athlete and board back onto the ground. Perform the slide maneuver if necessary. Continue to maintain inline stabilization while the athlete is attached to the backboard. Have the secondary AT place the pads on either side of the helmet and secure with tape. Assist with transport to EMS.

A football player is tackled by his opponent. He suffers an open fracture to his tibia and fibula. There is significant bleeding from the area. The athlete feels lightheaded, his skin has become pale, is cool, and clammy. You took his pulse, it is rapid and weak. What type of shock is the athlete experiencing? How should it be treated?

Hypovolemic shock. Activate EMS, elevate feet and legs 8-12 inches. Instruct athlete to not look at the injury. Give nothing by mouth.

An athlete comes to you for an electrical stimulation treatment. How should the electrodes be placed on the athlete?

-On or around the painful area -Over specific dermatomes, myotomes, or sclerotomes that correspond to the painful area-Close to spinal cord segment that innervates an area that is painful -Over sites where peripheral nerves that innervate the painful area becomes superficial and can be easily stimulated-Over superficial vascular structures-Over trigger point locations

When setting up an electrical stimulation treatment for muscle pump contractions, what is the correct pps the machine should be set at?

A. 150-200 ppsB. 35-50 ppsC. 15-35 ppsD. 200-250 pps

B. 35-50 pps

What identifies a time when even higher than normal stimulus cannot further depolarize a nerve?

A. A relative refractory periodB. An absolute refractory periodC. Saltatory conductionD. A depolarization periodE. A repolarization period

B. An absolute refractory period

One of your track athletes suffered a patella subluxation and has been in an immobilizer for the past several weeks. She has just been cleared to discontinue the use of her immobilizer. You have her start doing straight leg raises but notice her quadriceps muscles don’t seem to be firing. You do MMT and she can’t contract her quadriceps. You decide to do e-stim and utilizing muscle re-education. What parameters should the unit be set to?

 Waveform: High volt or medium frequencyPulse frequency: 35 to 55pps Duty Cycle: time on 1-2 seconds, time off 4-10 secondsDuration: 15 minutes

An athlete has received a MRI and there is a plica within the knee. The athlete has decided against surgery and wants to try and take a more conservative means of treatment. The team physician has prescribed iontophoresis and ultrasound. What type of current will be used with the iontophoresis

Monophasic, direct current

Which afferent peripheral nerves have the slowest conduction velocity?

A. A fibersB. B fibersC. C fibersD. D fibersE. Type IIb fibers

C. C fibers

Where is acetylcholine located?A. MyofibrilsB. Motor nerves and central nervous

systemC. CerebellumD. Brocca areaE. Peripheral nerves

B. Motor nerves and central nervous system

What type of heat is lost or gained through indirect energy transmission?

A. Ultraviolet heatB. Infrared heatC. Indirect heatD. Conductive heatE. Radiant heat

E. Radiant heat

An athlete comes into the athletic training room with a recently sprained ankle. What are the steps to applying an ice bag? Include pre-application and post-application steps.

Prepare the treatment area. Ask the athlete if they have ever gotten this treatment before and ask if they have any of the counter-indications. Explain the sensation process they will feel as the ice numbs the area. Check for range of motion, circulation and sensation before placing the ice-pack. Place the ice back on the affected area and secure with an ace-wrap or exoclear. Place a towel under the athlete to absorb any dripping water. Tell the athlete to inform you when the area is numb. Check on the athlete throughout treatment. Once the area is numb remove the ice-bag. Check the area for any adverse reactions to the cold. Check for ROM, circulation, and sensation. Clean the treatment area and record the treatment.

Insert Text for QuestionCategory 3 – 50 Points

How long can the blood borne pathogen known as HBV live outside the body?

A. 24 hoursB. 72 hoursC. For at least 7 daysD. It dies immediately once it is in a dry state

C. For at least 7 days

What technique would you use to open the airway of an unconscious athlete who may have a potential head or neck injury?

A. Head-tilt chin liftB. Foreign object finger sweepC. Abdominal thrustsD. Look, listen, feelE. Jaw thrust maneuver

E. Jaw thrust maneuver

What is the appropriate number of chest compressions per cycle when performing two-person CPR on an adult patient?

A. 30 compressionsB. 10 compressionsC. 15 compressionD. 20 compression

A. 30 compressions

You are covering the first outdoor track practice of season when an athlete comes up to you and says they have just been stung by a bee. Her paperwork says that she is highly allergic and she is starting to have an anaphylactic reaction. What are the steps that you would take to treat the athlete?

Active the EAP and call 911. Have the athlete lay down and raise their legs. Administer the Epipen treatment into the thigh muscle of the athlete and hold in place for at least 10 sec. Keep monitoring the athlete’s vital signs to make sure they are conscious and breathing.

You are covering a rugby game. One of you players is hit on the outside of their lower leg. They immediately drop to the ground and cry out in pain holding the affected leg. Upon initial inspection you see a gross deformity in the leg. What steps would you take next?

Activate the EAP and call 911. Get the athlete into a comfortable position and treat for shock while monitoring their vital signs. Send someone to get the splinting kit and split the in the position that you found it in. Don’t try to reset the injury. If a golf cart is available remove the athlete from the field that way. If a cart is unavailable use the two person carry. When EMS arrives transfer care to them.

When examining the pupil you notice that it appears to have a teardrop shape to it. This is indicative of what type of injury?

A. Traumatic iritisB. Detached retinaC. Intracranial injuryD. Corneal lacerationE. Blepharoptosis

D. Corneal laceration

What is the cause of commotio cordis?A. An obstruction of the coronary arteries B. Marfan syndromeC. Hypertrophic cardiomyopathyD. A blunt force chest trauma over the

heart region between contractionsE. Dangerous arrhythmia due to a lightning strike

D. A blunt force chest trauma over the heart region between contractions

What type of splint should you ideally use to immobilize an obvious fracture of the tibia and fibula bones of the lower leg?

A. SAM splintB. Air splintC. A stax splintD. Rapid form vacuum splitE. Half-ring traction splint

D. Rapid form vacuum split

A football player was poked in the eye with the finger of another teammate. He comes over and you can clearly see a hyphema has formed behind the cornea. What steps should be taken in this situation?

A football player was poked in the eye with the finger of another teammate. He comes over and you can clearly see a hyphema has formed behind the cornea. What steps should be taken in this situation?

Refer to team physician immediately. If not there, go to emergency room. Patch both eyes and try to keep athlete in supine position with 20-30 degrees of flexion.

Thermotherapy is often used after the inflammatory response phase of the injury has ended. What are some of the goals of thermotherapy? Name at least three.

Increased blood flowIncreased muscle temperature to stimulate analgesiaIncreased nutrition to the damaged cellsReduction of edemaRemoval of metabolites and other products of inflammatory process